HomeMy WebLinkAbout328371 08/08/18 CITY OF CARMEL, INDIANA VENDOR: 372573
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ONE CIVIC SQUARE GUSTAVO JIMENEZ CHECKAMOUNT: $********44.48*
CARMEL, INDIANA 46032 2200 WEST SEDBURY DRIVE CHECK NUMBER: 328371
APT.B15 CHECK DATE: 08/08/18
BLOOMINGTON IN 47403
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4343004 MILEAGE 44.48 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 372573 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GUSTAVO JIMENEZ IN SUM OF$ CITY OF CARMEL
2200 WEST SEDBURY DRIVE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
APT. B15 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
BLOOMINGTON, IN 47403
Payee
$44.48
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Department of Law Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
Mileage 43-430.04 $44.48 1 hereby certify that the attached invoice(s),or 7/27/18 Mileage $44.48
1180 101 1180 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday,July 27,2018
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
, 20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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PRESCRIBED BY STATE BOARD OF ACCOUNTS
MILEAC�F CLAIM
TOVO
City of Carmel, Indiana
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. 434-3004 FOR Mileage
Department of Law - 1180
(OFFICE,BOARD,DEPARTMENT OR INSTITUTION
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Pursuant to the provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing
-aud that no part of the same has been paid.
Date